Active NPIOrganization

Andover Manor Operating LLC

Skilled Nursing Facility in Andover, Massachusetts

NPI Number1245135946
Practice location
89 Morton St, Andover, MA 01810-2036
Fax
—
Last updated
October 12, 2026

Andover Manor Operating LLC is a healthcare organization based in Andover, MA. Andover Manor Operating LLC practices in Andover, MA. The NPI Number for Andover Manor Operating LLC is 1245135946. The current practice location address for Andover Manor Operating LLC is 89 Morton St, Andover, MA 01810-2036 and can be reached out via phone at 314-543-3800.

Provider Profile Details

NPI Number
1245135946
Provider Name
Andover Manor Operating LLC
Provider Entity Type
Organization
Address
89 Morton St, Andover, MA 01810-2036
Phone Number
314-543-3800
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Nicholas E. Destefane · Ceo · 314-543-3800
Provider Enumeration Date
October 12, 2026
Last Update Date
October 12, 2026
Certification Date
October 12, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
89 Morton St
Andover, MA 01810-2036
Zip
01810-2036
Phone Number
314-543-3800
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
1869 Craig Park CT
Saint Louis, MO 63146-4122
City
Saint Louis
State
MO
Zip
63146-4122

License Information

Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andover Manor Operating LLC?

The NPI number of Andover Manor Operating LLC is 1245135946. It was assigned on October 12, 2026 and is currently active in the NPPES registry.

What is the specialty of Andover Manor Operating LLC?

Andover Manor Operating LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Andover Manor Operating LLC practice?

The practice location is 89 Morton St, Andover, MA 01810-2036. The office can be reached at 314-543-3800 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245135946 directly on the NPPES registry website.

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